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Related Concept Videos

Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Updated: Jun 17, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Current trends in breast cancer surgery.

Z Chaloupková, O Coufal, L Gabrielová

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |August 14, 2024
    PubMed
    Summary

    Advances in breast cancer surgery, including oncoplastic techniques and improved reconstruction methods, are enhancing breast-conserving therapy. These surgical innovations, alongside specialized care, are contributing to decreased mortality rates.

    Keywords:
    breast cancerbreast reconstructionlymphedemaoncoplastic approachtargeted axillary dissection

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    Area of Science:

    • Oncology
    • Surgical Oncology
    • Breast Surgery

    Background:

    • Increasing breast cancer incidence contrasts with decreasing mortality rates.
    • Advances in surgical treatment, particularly oncoplastic surgery, are key to improved outcomes.
    • High-quality screening programs and therapeutic progress are vital.

    Purpose of the Study:

    • To highlight the advancements in surgical techniques for breast cancer treatment.
    • To emphasize the role of oncoplastic surgery in maximizing breast conservation.
    • To discuss evolving strategies in breast reconstruction and axillary surgery.

    Main Methods:

    • Integration of resection and reconstruction in oncoplastic surgery.
    • Development of new localization methods for non-palpable lesions.
    • Exploration of various breast reconstruction techniques (free flap, implants, fat transfer).
    • Focus on axillary surgery, including neoadjuvant treatment response and lymphedema prevention.
    • Analysis of tumor phenotype-guided surgical indications.

    Main Results:

    • Oncoplastic approach expands indications for breast-conserving therapy with better cosmetic results.
    • Free abdominal flap transfer remains popular, with growing alternatives like implant-based and fat transfer reconstructions.
    • Axillary surgery is being refined for nodal involvement responding to neoadjuvant therapy.
    • Lymphedema prevention strategies like lymphatic mapping show promise.
    • Centralization of care in specialized breast centers is being considered to improve outcomes.

    Conclusions:

    • Surgical innovations are crucial for improving breast cancer survival and quality of life.
    • Personalized surgical strategies based on tumor characteristics and patient factors are essential.
    • Continued development in breast reconstruction and lymphedema management is needed.
    • Optimizing healthcare delivery through specialized centers can further enhance treatment efficacy.